Disability Resource Center
Cal Poly Pomona
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DRC Forms

The downloadable forms on this page have been provided for your convenience. You may complete and submit from within your web browser or print the form to turn in.  

Important Note

Due dates and deadlines for the following are the same as the due dates of the paper forms. Please see IMPORTANT DATES for deadlines.

Instructions 

1. Locate the form you wish to complete in the list below.

2. Choose the form and file format of the document you wish to download by clicking on the appropriate file name below. Note that both Microsoft Word (doc) and Adobe Reader (pdf) formats are available.

3. If the form does not automatically open on your computer, locate the downloaded form on your local computer (it is often on your desktop or in your Documents folder) and double-click the form to open it.

4. If you are using the Alternate Media Request  Word form, please print and sign your form before submitting it to the DRC office. The Alternate Media Request PDF form can be submitted by clicking the "click here to submit" button on the top right corner of the form.

5. After completing the selected form, use the table information at the bottom of the page to determine appropriate mailing, faxing, or emailing instructions for your form.

Forms



Contact Information

General

Alternate Media Services

Testing Services

Mailing address:
3801 W. Temple Ave.
9-103
Pomona, CA 91768

Mailing address:
3801 W. Temple Ave.
9-103 / Attn: Alt Media
Pomona, CA 91768

Mailing address:
3801 W. Temple Ave.
9-103 / Attn:  Testing
Pomona, CA 91768

Fax:
(909) 869-3271

Fax:
(909) 869-4795

Fax:
(909) 869-3271

Email:
drc@csupomona.edu

Email:
drcaltmedia@csupomona.edu

Email:
drc@csupomona.edu

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